assessment - mental status and pain Flashcards
level of consciousness
is the degree of wakefulness
awake and alert
fully awake, responding appropriately
lethargic
drowsy or sleep, awakens to gentle movement
stuporous
unconscious most of the time
no spontaneous movement
responds to painful stimuli
comatose
unarousable
may only have reflex responses
level of awareness
orientation to person, place, time
acute
short term
predictable
goes away after cause is resolved or pain is healed
chronic
continues for 3 months or more
does not stop when injury heals
harder to define
cutaneous pain
superficial
deep somatic pain
diffuse scattered and originates in ligaments, tendons , bones, blood vessels, and nerves
visceral pain
poorly localized and originates in body organs in the thorax cranium and abdomen
neuropathic pain
is caused by damage or disease affecting the nervous system
referred pain
originates in one part of the body but is perceived in an area distant from its point of origin
pain assessment
location
duration (continuous/intermittent)
aggravating/alleviating factors